APCTC FORMS

These documents recently have been updated.  Translations to other languages will be available soon.  

CONSENT FORM - ENGLISH

CONSENT FORM - SPANISH

APCTC WELCOME PACKET - ENGLISH

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH FORMS 

notice of privacy practices - english

notice of privacy practices - spanish

medi-cal beneficiary handbook - multiple languages

patients' rights consumer resource directory - english

beneficiary/client grievance or appeal and authorization forms - multiple languages

REQUEST FOR CHANGE OF PROVIDER FORM - ENGLISH

REQUEST FOR CHANGE OF PROVIDER FORM - SPANISH

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH PROVIDER DIRECTORY

LINK TO DIRECTORY